<?php
	$mod = $_GET['mod'];
?>

<div class="page-header">
    <div class="pull-left">Change Password</div>
    <div class="pull-right"></div>
    <div class="clear"></div>
</div>

<form parsley-validate class="form-horizontal" action="?mod=<?=$mod?>&act=process" role="form" name="frmedit" method="post" enctype="multipart/form-data">
    <div class="form-group">
        <label class="col-sm-3 control-label">Currently Password :</label>
        <div class="col-sm-9">
            <input parsley-required="true" name="txtcurpass" type="password" class="form-control" >
        </div>
    </div>
    <div class="form-group">
        <label class="col-sm-3 control-label">New Password : </label>
        <div class="col-sm-9">
            <input parsley-required="true" name="txtnewpass" type="password" class="form-control" >
        </div>
    </div>
    <div class="form-group">
        <label class="col-sm-3 control-label">Confirm Password : </label>
        <div class="col-sm-9">
            <input parsley-required="true" name="txtconfpass" type="password" class="form-control" >
        </div>
    </div>
    
    <div class="form-group">
        <div class="col-sm-offset-3 col-sm-9">
            <button type="submit" class="btn btn-primary">Save</button>
            <button type="reset" class="btn btn-default">Reset</button>
        </div>
    </div>
    <input type="hidden" name="form_" value="edit">
</form>